Tatum Lillibridge

NPI #1467108332 in Ames, Iowa

Provider Information

NPI Number: 1467108332
Entity Type: Individual
Name: Tatum Lillibridge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 1315 S BELL AVE STE 108
City: Ames
State: Iowa
ZIP Code: 50010-7730
Phone: (515) 290-1134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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